Scribe America Final Exam ED Questions And Answers 2023

What are the 3 types of dispositions? - Correct answer-Discharge, Admit, Transfer What does HPI stand for? - Correct answer-history of present illness What does ROS stand for? - Correct answer-review of systems The HPI and ROS are considered what type of information? - Correct answer-subjective The physical exam is what type of information? - Correct answer-objective If a physician told you a patient's abdomen was non tender, where would you document this? - Correct answer-PE What section focuses directly on the chief complaint? - Correct answer-HPI If someone has a hx of CABG or MI, what is something you can also always document in the PMHx section of the chart? - Correct answer-CAD Name an example of something you may write in the Social Hx portion of the chart. - Correct answer-smokes 1 pack/day Name an example of something you may write in the Family Hx portion of the chart. - Correct answer-Mother had Hx of CAD at age 46 What are the abbreviations for the following past medical history terms? Hypertension Stroke Diabetes Heart Attack High Cholesterol - Correct answer-HTN CVA (cerebrovascular accident) DM MI HLD What are the medical terms for the following past surgical terms? Removal of the appendix Removal of the gallbladder Removal of the uterus Removal of a fallopian tube Removal of the tonsils Removal of the breast - Correct answer-appendectomy cholecystectomy hysterectomy Salpingo-oophorectomy tonsillectomy mastectomy What are the five vital signs? - Correct answer-Blood pressure (BP), heart rate (HR), oxygen saturation (SaO2), respiratory rate (RR), temperature (C or F) What does NKDA stand for? - Correct answer-no known drug allergies What does LNMP stand for? - Correct answer-Last Normal Menstrual Period If the doctor said the exam was